Individual provider Active NPI

Brandon Hixson, DPT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1073249827
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5475-0 Issued in HI
Practice address
94-801 Farrington Hwy Ste W2
Waipahu, HI 96797-3149
Phone
(808) 680-9123
NPI assigned
Jul 25, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-5475-0 HI Primary

Addresses

Primary practice location

94-801 Farrington Hwy Ste W2
Waipahu, HI 96797-3149

Mailing address

94-801 Farrington Hwy Ste W2
Waipahu, HI 96797-3149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230906000543 HI Practitioner - Physical Therapist in Private Practice 9931562196 Reassigns benefits to 1 organization
I20241023001501 MN Practitioner - Physical Therapist in Private Practice 9931562196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians
Tria Orthopaedic Center LLCGroup PAC ID 3173570561, 504 clinicians

Practice addresses (Care Compare)

15301 Grove Cir N
Maple Grove, MN 55369-4475
Phone (952) 993-5900

15800 95TH Ave N
Maple Grove, MN 55369-4400
Phone (952) 993-1440

3800 American Blvd W
Suite 200
Bloomington, MN 55431-4420
Phone (952) 831-8742

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12613MNMDClinical Social Worker
PT-5475-0HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince Oct 28, 2024 Accepting new patients
Tria Orthopaedic Center LLC Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
PT Hawaii, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Park Nicollet Clinic Current Accepting new patients

Locations

599 Farrington Hwy
Ste 2
Kapolei, HI 96707
Phone (808) 676-5331

94-801 Farrington Hwy
Ste 205
Waipahu, HI 96797
Phone (808) 671-7966

94-801 Farrington Hwy
Ste W2
Waipahu, HI 96797

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 806-5741

4670 Park Nicollet Ave SE
Prior Lake, MN 55372
Phone (952) 993-7750

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1073249827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-801 FARRINGTON HWY STE W2",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-801 FARRINGTON HWY STE W2",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973149",
            "telephone_number": "808-680-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5475-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.